IAFOR Journal of Psychology & the Behavioral Sciences Volume 3 – Issue 2 – Autumn 2017 Alexithymia, Attachment and Fear of Intimacy in Young Adults Michael Lyvers Bond University, Australia Siobhan Davis Bond University, Australia Mark S. Edwards York St. John University, United Kingdom Fred Arne Thorberg National Centre for Dual Diagnosis, Innlandet Hospital Trust, Norway Abstract The present study explored the relationship between alexithymia and adult attachment. There were 100 participants aged 18–30 years (63 females) who completed the following questionnaires: demographics, Revised Adult Attachment Scale (RAAS), Depression Anxiety Stress Scales (DASS-21), Fear of Intimacy Scale (FIS), and Toronto Alexithymia Scale 20 (TAS-20). Findings revealed predicted associations of TAS-20 alexithymia scores with insecure attachment as assessed by RAAS (i.e., lower scores on Close and Depend, and higher scores on Anxiety), fear of intimacy as assessed by FIS, and the DASS-21 index of negative mood. After controlling for age, gender and negative mood, fear of intimacy mediated the association of alexithymia with insecure attachment. Limitations of the study and implications of the findings are discussed. Keywords: personality, attachment, intimacy, emotions Acknowledgement: This research was funded by a Bond University Category 2 research grant. 1 IAFOR Journal of Psychology & the Behavioral Sciences Volume 3 – Issue 2 – Autumn 2017 Introduction Alexithymia is a relatively stable trait dimension (Sander & Scherer, 2009) characterized by difficulty identifying and describing feelings, and an externally oriented thinking style (Taylor, Bagby & Parker, 1997). High levels of alexithymia have been consistently reported to be associated with negative moods such as depression and anxiety (Honkalampi, Hintikka, Tanskanen, Lehtonen & Viinamäki, 2000; Lyvers, Lysychka & Thorberg, 2014) as well as with substance misuse (Lyvers, Hinton, Gotsis, Roddy, Edwards & Thorberg, 2014; Thorberg, Young, Sullivan & Lyvers, 2009) and interpersonal difficulties (Humphreys, Wood & Parker, 2009; Kauhanen, Kaplan, Julkunen, Wilson & Salonen, 1993; Kokkonen, Karvonen, Veijola, Laeksy & Jokelainen, 2001; Vanheule, Desmet, Meganck & Bogaerts, 2007). For example, Qualter, Quinton, Wagner and Brown (2009) reported that in university students, high levels of alexithymia were associated with loneliness and interpersonal distrust. Alexithymia has also been reported to be negatively related to secure adult attachment, with supporting evidence obtained across diverse cultural contexts (Doina & Ioana, 2015; Thorberg, Young, Sullivan, Lyvers, Hurst, Connor & Feeney, 2011; Troisi, D’Argenio, Peracchio & Petti, 2001). Both high alexithymia and insecure attachment in adults have been hypothesized to reflect outcomes of poor parenting (Karukivi & Saarijärvi, 2014; Thorberg, Young, Sullivan & Lyvers, 2011; Wearden, Cook & Vaughan-Jones, 2003); however, there is also evidence for a moderate genetic contribution to alexithymia (Jorgensen, Zachariae, Skytthe & Kyvik, 2007). Research by Montebaroccia, Codispotib, Baldaroa and Rossi (2004) indicated that high scores on the Toronto Alexithymia Scale 20 (TAS-20; Bagby, Parker & Taylor, 1994) – a widely used self-report index of alexithymia – were associated with both insecure attachment and fear of intimacy. A more recent study (Besharat, Naghshineh, Pooyesh & Tavalaeyan, 2014) similarly found that higher alexithymia as indexed by TAS-20 alexithymia scores was negatively related to indices of secure attachment and marital satisfaction, and positively associated with scores on the Fear of Intimacy Scale (FIS; Descutner & Thelen, 1991). As other recent research has suggested that those with high levels of alexithymia may be characterized by a “fearful” attachment style (Doina & Ioana, 2015), the present study sought to determine whether the reported negative association between TAS-20 alexithymia and secure attachment would be mediated by fear of intimacy, as indexed by the FIS, in a young adult sample. Recent evidence indicates that those with high levels of alexithymia may be prone to experience difficulties in interpersonal relationships due to the association of alexithymia with fundamental deficits in the ability to recognize and properly label facial expressions of emotions, as well as deficiencies of emotional empathy and affective theory of mind (Demers & Koven, 2015; Grynberg et al., 2013; Lyvers, McCann, Coundouris, Edwards & Thorberg, in press; Prkachin, Casey, & Prkachin, 2009). For example, research by Prkachin et al. suggested that those scoring high on the TAS-20 index of alexithymia tend to misread others’ emotions and may thus fail to respond appropriately, which would likely interfere with the development and cultivation of close relationships. More recently, Lyvers et al. (in press) found that higher TAS-20 alexithymia scores were related to poorer facial emotion recognition performance as well as low emotional empathy, similar to other recent findings by Grynberg et al. (2013) and Demers and Koven (2015). Lyvers et al. (in press) also found that the negative association of alexithymia with emotional empathy was mediated by deficient facial recognition of emotions. Alexithymia thus appears to involve not just difficulties in identifying and reporting one’s own emotional feelings, but also difficulties in 2 IAFOR Journal of Psychology & the Behavioral Sciences Volume 3 – Issue 2 – Autumn 2017 detecting and appropriately responding to the emotional states of others. A logical outcome of poor ability to link facial cues of emotion to emotional feeling states is low emotional empathy, which would also be expected to work against intimate relationships. Empathizing with others in terms of their emotional feelings, and responding appropriately, would obviously be impossible for an individual who is unable to recognize those emotions in the first place. The association of alexithymia with fear of intimacy may thus reflect repeated experiences of interpersonal conflict by those with high levels of alexithymia, stemming from their poor ability to read and properly respond to others’ emotional feelings. Fear of intimacy, in turn, would be expected to promote an insecure attachment style among those with high levels of alexithymia. In the present study, based on the previous work cited earlier, TAS-20 alexithymia scores of young adults were predicted to be positively associated with indices of negative mood and fear of intimacy, and negatively associated with indices of secure attachment. Further, after controlling for demographic and mood variables, fear of intimacy was predicted to mediate the negative relationship of alexithymia to secure attachment. Method Participants A total of 103 young adult participants were initially recruited through the online survey platform Qualtrics. Three cases identified as multivariate outliers by Mahalanobis Distance (p < .001) were subsequently removed, resulting in a final sample of 100 participants. All participants were between the ages of 18 and 30 years (M = 24.39 years, SD =3.65), and 63 were female. There was a small monetary incentive for all participants. Materials Participants completed an online questionnaire battery containing five measures assessing demographics, alexithymia, negative mood, attachment style and fear of intimacy. Demographics Questionnaire. This brief self-report questionnaire assessed participants’ age, gender, country of origin, years of education, and whether they were currently taking medication for a psychiatric or neurological disorder. Toronto Alexithymia Scale (TAS-20; Bagby et al., 1994). The TAS-20 is a self-report inventory consisting of 20 items assessing the three facets of alexithymia: Difficulty Identifying Feelings (DIF; e.g., “I often don’t know why I am angry”); Difficulty Describing Feelings (DDF; e.g., “It is difficult for me to find the right words for my feelings”); and Externally Oriented Thinking (EOT; e.g., “I prefer to watch ‘light’ entertainment shows rather than psychological dramas”). Items are scored on a five-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). Responses are totalled to yield a score on a continuum of 20-100 of symptom severity, with higher scores indicating higher alexithymia. In the present sample the Cronbach alpha reliability coefficient was .88. Depression, Anxiety Stress Scales – 21 (DASS-21; Lovibond & Lovibond, 1995). The DASS-21 is a 21-item, self-report scale that assesses Depression (e.g., “I couldn't seem to experience any positive feeling at all“), Anxiety (e.g., “I was worried about situations in which I might panic and make a fool of myself“), and Stress (e.g., “I felt that I was rather touchy“). When completing the inventory, participants indicate the presence of the symptom occurring in the last seven days. The items are scored on a four-point Likert Scale ranging from 0 (Did not apply to me at all) to 3 (Applied to me very much or most of the time). The 3 IAFOR Journal of Psychology & the Behavioral Sciences Volume 3 – Issue 2 – Autumn 2017 score is summed for each facet and then doubled to be equivalent to the 42-item DASS. Higher scores on each construct indicate more frequent occurrence of symptomology. In the present study the total DASS-21 score was used as an index of negative mood. The Cronbach alpha reliability coefficient for the current sample was .96. Fear of Intimacy Scale (FIS; Descutner & Thelen, 1991). The FIS was developed to assess an individual’s inability